FMHR LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1163096 Issued in FL

Legal business name

FMHR LLC

Practice address

390 NE 135TH St
North Miami, FL 33161-3967

Phone

(305) 895-4804

Fax

(305) 892-7411

NPI assigned

Jul 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Chavin

Title

Administrator

Phone

(305) 895-4804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountain Manor Health & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105172

Legal name

FMHR LLC

Doing business as

FOUNTAIN MANOR HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 17, 1968

Last certification

Nov 15, 2024

Beds

139

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Aug 20, 2014 in FL

Enrollment address

390 NE 135TH St
North Miami, FL 33161-3967

Nursing home name

FOUNTAIN MANOR HEALTH & REHABILITATION CENTER

Listed as

Fountain Manor Health & Rehabilitation CenterCCN 105172

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 17, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

139137.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

FMHR LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SF Fountainhead LLC

  • Skilled Nursing Facility
  • North Miami, FL
  • NPI 1225297062
  NPD tax ID

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alfredo Jorge Melgar, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1093981912

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Orestes Mederos Trujillo, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1316456528

  Nursing home

  Care Compare affiliation
• Alfredo Jorge Melgar, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1093981912

  Nursing home

  Care Compare affiliation
• Manuel A Ojeda, MD

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1952333775

  Nursing home

  Care Compare affiliation
• Carlos A Perez, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1649289471

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1720495120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 135TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613967",
            "telephone_number": "305-895-4804",
            "fax_number": "305-892-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 135TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613967",
            "telephone_number": "305-895-4804",
            "fax_number": "305-892-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMHR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "CHAVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-895-4804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1163096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013244900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Manor Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Health Clinic Inc
• Florida Holistic Medicine
• Florida Home Bound Mental Health Agency Inc.
• Floridians Nurses Agency & Registry,Inc
• Sarah Flory, FNP-BC
• Gerardo Fojo
• Foot and Ankle Associates of North Miami, L.L.C
• Fountain Manor Opco LLC
• Kevin Baruch Fox, D.O.
• Samuel Francois

• Skilled Nursing Facility in North Miami, FL
• Providers in North Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.